<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html dir="ltr" xmlns="http://www.w3.org/1999/xhtml">
<%@include file="/WEB-INF/taglibs/common/taglibs.jsp" %>

<head>
    <title><spring:message code="sp.reprint_check.title"/></title>
    <meta content="text/html; charset=utf-8" http-equiv="Content-Type"/>
    <link rel="stylesheet" href="<c:url value="/css/styles.css"/>"/>
    <script src="<c:url value="/javascripts/common.js"/>"></script>
</head>

<body>
<div class="page">
    <%@include file="../../top_menu.jsp" %>
    <table width="100%">
        <tr>
            <td>
                <c:import url="/WEB-INF/jsp/menu/checks_menu.jsp"/>
            </td>
        </tr>
        <tr>
            <td>
                <c:import url="/WEB-INF/jsp/menu/print_checks_menu.jsp"/>
            </td>
        </tr>
        <tr>
            <td>
                <%@include file="/WEB-INF/jsp/include/messages.jsp" %>
                <br/>
            </td>
        </tr>
         <tr> 
      <td>  <form id="role" method="post">
        <p>&nbsp;</p>
        
          
        <table class="formTable" cellspacing="0" width="100%">
          <tbody>
            <tr class="formHeader"> 
              <td height="20" colspan="14">Re-print Blank Check Requests</td>
            </tr>
            <tr> 
              <td width="9%"><a href="#"><span style="cursor: pointer; width: 5.5em; color: black;" class="headerLink"></span><b>Select</b></a></td>
              <td width="9%"><a href="#"><b>Sr. No.</b></a></td>
              <td width="12%"><a href="#"><strong>Check #</strong></a></td>
              <td width="12%"><a href="#"><span style="cursor: pointer; width: 5.5em; color: black;" class="headerLink"></span><b>Transaction 
                ID </b></a></td>
              <td width="11%"><a href="#"><span style="cursor: pointer; width: 5.5em; color: black;" class="headerLink"></span><b>Order 
                ID</b></a></td>
              <td width="11%"><a href="#"><span style="cursor: pointer; width: 5.5em; color: black;" class="headerLink"></span><b>Order 
                Date </b></a></td>
              <td width="8%"><a href="#"><span style="cursor: pointer; width: 5.5em; color: black;" class="headerLink"></span><b>Batch 
                ID</b></a></td>
              <td width="9%"><a href="#"><span style="cursor: pointer; width: 5.5em; color: black;" class="headerLink"></span><b>Taxpayer 
                SSN</b></a></td>
              <td width="11%"><a href="#"><span style="cursor: pointer; width: 5.5em; color: black;" class="headerLink"></span><b>Taxpayer 
                First Name</b></a></td>
              <td width="10%"><a href="#"><span style="cursor: pointer; width: 5.5em; color: black;" class="headerLink"></span><b>Taxpayer 
                Middle Name</b></a></td>
              <td width="11%"><a><span style="cursor: pointer; width: 5.5em; color: black;" class="headerLink"></span></a><a href="#"><b>Taxpayer 
                Last Name</b></a></td>
              <td width="11%"><a href="#"><span style="cursor: pointer; width: 5.5em; color: black;" class="headerLink"></span><b> 
                Reason</b></a></td>
              <td width="10%"><a href="#"><span style="cursor: pointer; width: 5.5em; color: black;" class="headerLink"></span><b> 
                Reason Detail</b></a></td>
              <td width="10%"><a href="#"><span style="cursor: pointer; width: 5.5em; color: black;" class="headerLink"></span><b> 
                Check Image</b></a></td>
            </tr>
          </tbody>
          <input id="usersList[0].id2" name="usersList[0].id" value="28" type="hidden" />
          <input name="usersId" value="28" type="hidden" />
          <input id="usersList[1].id2" name="usersList[1].id" value="27" type="hidden" />
          <input name="usersId" value="27" type="hidden" />
          <input id="usersList[2].id2" name="usersList[2].id" value="26" type="hidden" />
          <input name="usersId" value="26" type="hidden" />
          <tr> 
            <input id="usersList[2].email2" name="usersList[2].email" value="payee22@gmail.com" type="hidden" />
            <td height="38"> 
              <input type="checkbox" name="checkbox" value="checkbox" /></td>
            <td>1</td>
            <td>2324</td>
            <td>100</td>
            <td>511</td>
            <td>1/2/2012</td>
            <td>11</td>
            <td>15466</td>
            <td>Smith </td>
            <td>Smith </td>
            <td>Smith </td>
            <td>Other</td>
            <td>dfgfdgg</td>
            <td><a href="#">View</a></td>
          </tr>
          <input id="usersList[3].id2" name="usersList[3].id" value="25" type="hidden" />
          <input name="usersId" value="25" type="hidden" />
          <input id="usersList[4].id2" name="usersList[4].id" value="24" type="hidden" />
          <input name="usersId" value="24" type="hidden" />
          <tr> 
            <input id="usersList[4].email2" name="usersList[4].email" value="payee20@gmail.com" type="hidden" />
            <td height="22"> <input type="checkbox" name="checkbox2" value="checkbox" /></td>
            <td>2</td>
            <td>3455</td>
            <td>101</td>
            <td>512</td>
            <td>2/2/2012</td>
            <td>12</td>
            <td>11564</td>
            <td>John</td>
            <td>John</td>
            <td>John</td>
            <td>Printed Twice</td>
            <td>fggggfgd</td>
            <td><a href="#">View</a></td>
          </tr>
          <input id="usersList[5].id2" name="usersList[5].id" value="23" type="hidden" />
          <input name="usersId" value="23" type="hidden" />
          <tr> 
            <input id="usersList[4].email2" name="usersList[4].email" value="payee20@gmail.com" type="hidden" />
            <td height="55"> <input type="checkbox" name="checkbox2" value="checkbox" /></td>
            <td>3</td>
            <td>4546</td>
            <td>102</td>
            <td>513</td>
            <td>2/10/2012</td>
            <td>13</td>
            <td>87545</td>
            <td>Brown</td>
            <td>Brown</td>
            <td>Brown</td>
            <td>Printed Upside Down</td>
            <td>Cfgdfgg</td>
            <td><a href="#">View</a></td>
          </tr>
        </table>
        <table width="50%">
          <tr> 
            <td width="41%">Select Check Layout :</td>
            <td width="37%"><select name="select">
                <option value="1" selected="selected">Layout 1</option>
                <option value="2">Layout 2</option>
                <option value="3">Layout 3</option>
              </select></td>
            <td width="22%"><input name="submit3" type="submit" class="ui-button ui-state-default ui-corner-all" value="Print " /></td>
          </tr>
        </table>
        <p>&nbsp; </p>
        <table width="985" class="formTable">
          <tbody>
            <tr class="formHeader"> 
              <td colspan="7">File Upload</td>
            </tr>
            <tr> 
              <td width="117" class="label"><label for="service" class="inline">Title 
                <font color="#FF00FF">*</font> <span class="req"> </span></label></td>
              <td width="255"><input name="postal_service3" size="21" type="text" /> 
              </td>
              <td width="102" class="label"><label for="tracking_number" class="inline"><span class="req">Description<font color="#FF00FF"> 
                *</font> </span></label></td>
              <td width="250"><textarea name="textarea4" cols="30"  rows="5"></textarea> 
              </td>
              <td width="45" class="label"><label for="address" class="inline">Tags</label></td>
              <td width="188"><input name="postal_service4" size="21" type="text" /> 
              </td>
            </tr>
            <tr> 
              <td class="label">File <font color="#FF00FF">*</font></td>
              <td><input type="file" name="logo22" id="logo23" /></td>
              <td class="label">&nbsp;</td>
              <td>&nbsp;</td>
              <td class="label">&nbsp;</td>
              <td>&nbsp;</td>
            </tr>
            <tr> 
              <td><input name="submit33" type="submit" class="ui-button ui-state-default ui-corner-all" value="Upload" /></td>
            </tr>
          </tbody>
        </table>
        <p>&nbsp; </p>
        <p>&nbsp;</p>
        </form> </td>
    </tr>
  </tbody>
</table>


    <div class="contentArea">
    </div>
</div>
<%@include file="/WEB-INF/jsp/include/footer.jsp" %>
</body>
</html>